Provider Demographics
NPI:1992689319
Name:LEVIN, RILEY JOSEPH (HES)
Entity type:Individual
Prefix:MR
First Name:RILEY
Middle Name:JOSEPH
Last Name:LEVIN
Suffix:
Gender:M
Credentials:HES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 MAIN ST STE 21
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-3636
Mailing Address - Country:US
Mailing Address - Phone:508-824-4327
Mailing Address - Fax:774-213-9646
Practice Address - Street 1:54 MAIN ST STE 21
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-3636
Practice Address - Country:US
Practice Address - Phone:508-824-4327
Practice Address - Fax:774-213-9646
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAHES6517237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist